Provider Demographics
NPI:1982846911
Name:ESKANDAR, ANTONIOUS W (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANTONIOUS
Middle Name:W
Last Name:ESKANDAR
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:90 WASHINGTON ST STE 308
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-1050
Mailing Address - Country:US
Mailing Address - Phone:347-350-3802
Mailing Address - Fax:973-528-8088
Practice Address - Street 1:90 WASHINGTON ST STE 308
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-1050
Practice Address - Country:US
Practice Address - Phone:844-273-3428
Practice Address - Fax:973-528-8088
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0006541-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400091151Medicare Oscar/Certification
NJ329081MCJMedicare Oscar/Certification